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Li R, Deng R, Song T, Xiao Y, Wang Q, Fang Z, Huang Y, Jiao F, Chen Y. Gender-specific factors of suicidal ideation among high school students in Yunnan province, China: A machine learning approach. J Affect Disord 2024; 364:157-166. [PMID: 39147147 DOI: 10.1016/j.jad.2024.08.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Revised: 06/04/2024] [Accepted: 08/12/2024] [Indexed: 08/17/2024]
Abstract
BACKGROUND Suicidal ideation (SI) assumes a pivotal role in predicting suicidal behaviors. The incidence of SI among high (junior and senior) school students is significantly higher than that of other age groups. The aim of this study is to explore the gender differences in SI among high school students in Yunnan Province. METHOD A total of 6180 students in grades 7-12 in Yunnan province, China from May 2021 to May 2022 participated in this survey. Univariate analysis was employed to describe the influencing factors of male and female students' SI. Subsequently, data were stratified by gender. Adopting machine learning technique, including Least Absolute Shrinkage and Selection Operator (Lasso) and Boruta algorithm, and logistic regression model to estimate the direction and effect magnitude of the influencing factors. RESULTS The prevalence of SI was significantly higher for females (31.34 %) than males (16.73 %). The logistic regression model was established using the variables screened by Boruta algorithm, indicated that anxiety, depression, suffering emotion abuse or emotion neglect in childhood, non-suicidal self-injury, evening chronotype are common risk factors for SI in male and female students. Notably, female students who exhibited aggressive behavior, have experienced bullying, and were in the junior high school learning stage were more likely to report SI than their male counterparts. CONCLUSIONS Females showed more vulnerability to SI than males especially among females in junior high school, reporting aggressive behavior and bullying experiences. Tailored prevention strategies, informed by these gender-related distinctions, should be developed and implemented.
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Affiliation(s)
- Ruiyu Li
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Rui Deng
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Ting Song
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Yan Xiao
- Foreign Languages Department, Kunming Medical University, Yunnan 650500, China
| | - Qi Wang
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Zhijie Fang
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Yuan Huang
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
| | - Feng Jiao
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China.
| | - Ying Chen
- School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China.
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Liu H, Lan Z, Huang X, Wang Q, Deng F, Li J. The mediating effect of bullying on parental-peer support matching and NSSI behaviour among adolescents. BMC Public Health 2024; 24:1775. [PMID: 38961448 PMCID: PMC11223308 DOI: 10.1186/s12889-024-19309-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 06/28/2024] [Indexed: 07/05/2024] Open
Abstract
BACKGROUND Being subjected to bullying is a significant risk factor for non-suicidal self-injury (NSSI) among adolescents. Parental support, peer support, and social connectedness play protective roles in mitigating NSSI in this population. However, the precise impact of the combined effects of parental and peer support on bullying and NSSI requires further investigation. METHODS This study employed the Child and Adolescent Social Support Scale, Delaware Bullying Victimisation Scale, Social Connectedness Scale, and the Ottawa Self-Injury Inventory to survey 1277 Chinese adolescents. Polynomial regression analysis and response surface analysis were applied to examine the mediating role of bullying and social connectedness in the relationship between parental and peer support matching and NSSI. RESULTS The results indicate that parental support (r = 0.287, P < 0.001), peer support (r = 0.288, P < 0.001), and social connectedness (r = 0.401, P < 0.001) were protective factors against NSSI in adolescents. Conversely, bullying (r = 0.425, P < 0.001) acts as a risk factor for NSSI in this population. Adolescents with low parental and peer support experienced more bullying than those with high parental and peer support, while those with low parental but high peer support experienced less bullying than those with high parental but low peer support (R^2 = 0.1371, P < 0.001). Social connectedness moderated the effect between bullying and NSSI in this model (β = 0.006, P < 0.001). LIMITATIONS Due to the under-representation of participants and lack of longitudinal data support, the explanatory power of causality between variables was limited. Future studies should include national samples and incorporate longitudinal studies to enhance the generalisability and robustness of the findings. CONCLUSION This study reveals the influence mechanism of parental and peer support matching experienced by adolescents on bullying and NSSI and the moderating role of social connectedness. These findings enrich the developmental theory of adolescent NSSI and provide reference for the prevention and intervention of adolescent NSSI behaviour.
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Affiliation(s)
- Huaqiang Liu
- School of Law and Public Administration, Yibin University, Yibin, 644000, China
| | - Zhensong Lan
- School of Public Administration, Hechi University, No. 42, Longjiang Road, Yizhou, Guangxi, 546300, China.
| | - Xuefang Huang
- School of Teacher Education, Hechi University, Yizhou, 546300, China
| | - Qing Wang
- College of Humanities, Jiangxi University of Finance and Economics, Nanchang, 330013, China
| | - Fafang Deng
- School of Public Administration, Hechi University, No. 42, Longjiang Road, Yizhou, Guangxi, 546300, China
| | - Juchao Li
- School of Economics and Management, Beijing University of Technology, Beijing, 100124, China
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Wedajo LF, Hajure M, Abdu Z, Tesfaye GM, Workneh YA, Gezimu W, Hussen MA, Gemeda AD, Teferi SM, Alemu SS. Magnitude of self-harm and associated factors among postnatal mothers attending immunization clinics at public health facilities in Boneya Boshe Woreda, Western Ethiopia, 2023: institution-based cross-sectional study design. Front Public Health 2024; 12:1384688. [PMID: 38827623 PMCID: PMC11141167 DOI: 10.3389/fpubh.2024.1384688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 04/30/2024] [Indexed: 06/04/2024] Open
Abstract
Background Self-harm is a preventable, but a leading, cause of maternal morbidity and mortality all over the world, with a significant impact on healthcare systems. Objective To assess the magnitude of self-harm and associated factors among postnatal mothers attending immunization clinics. Methods An institution-based cross-sectional study was employed among postnatal mothers attending infant immunization clinics at public health facilities in Boneya Boshe Woreda, Western Ethiopia, 1 October to 30 October 2023. A pretested, face-to-face interviewer-administered structured questionnaire prepared by Kobo Toolbox was used to collect the data. Both bivariable and multivariable logistic regression analyses were done. The level of significance was declared at p-value <0.05 with a 95% CI. Results Among the 423 mothers enrolled in the study, 415 of them finally participated, at a response rate of 98.10%. The magnitude of self-harm was 12.53% (95% CI: 9.33, 15.73). Involvement of husband in maternity and child healthcare (AOR = 1.90; 95% CI: 1.12, 2.10), depression (AOR = 2.79; 95% CI: 2.14, 6.94), loneliness (AOR = 2.49; 95% CI: 1.15, 5.40), postpartum intimate partner violence (AOR = 2.15; 95% CI: 1.01, 4.54), average monthly income (AOR = 3.70; 95% CI: 2.17, 10.50), and postnatal care (AOR = 2.72; 95% CI: 1.28, 5.80) were significantly associated factors. Conclusion and recommendations The study sought a magnitude of self-harm that was slightly higher than the previous study conducted in the northern part of Ethiopia. Therefore, healthcare providers should focus on identified factors during postnatal care to overcome them. Similarly, the concerned body should develop an effective strategy based on the identified factors to pay attention to postnatal mothers.
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Affiliation(s)
| | - Mohammedamin Hajure
- Madda Walabu University College of Medicine and Health Sciences, Robe, Ethiopia
| | - Zakir Abdu
- Mattu University College of Health Sciences, Mattu, Ethiopia
| | | | | | - Wubishet Gezimu
- Mattu University College of Health Sciences, Mattu, Ethiopia
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Sun K, Li A, Li Y, Xie J, Tong Y, Ma J, Wu Y. A cross-sectional study of non-suicidal self-injury in a Chinese adolescent inpatient cohort. Front Psychiatry 2023; 14:1109334. [PMID: 37293407 PMCID: PMC10244503 DOI: 10.3389/fpsyt.2023.1109334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 05/05/2023] [Indexed: 06/10/2023] Open
Abstract
Background Non-suicidal self-injury (NSSI) is a significant predictor of completed suicide and is increasingly recognized as a serious public health concern. Multiple factors, including social, familial, mental, and genetic factors could influence the occurrence of this behavior. Identifying the early risk factors is important for screening and preventing this behavior. Methods Here, we recruited a total of 742 adolescent inpatient participants from a mental health center and conducted a series of diagnostic interviews and questionnaires to assess NSSI behavior and other events. Bivariate analysis was used to detect differences between groups in NSSI and non-NSSI. Then, binary logistic regression was fitted to identify predictors of NSSI as a function of these questionnaire scores. Results Of the 742 adolescents examined, a total of 382 (51.5%) participants engaged in NSSI. Bivariate analysis showed that age, gender, depression, anxiety, insomnia, and childhood trauma was significantly associated with NSSI. Logistic regression results suggested that females had 2.43 higher odds of engaging in NSSI when compared to their male counterparts (OR = 3.43, 95%CI = 2.09-5.74, p = 1.70 × 10-6). Depression was a primary risk predictor for NSSI with each additional increase in symptoms of depression increasing the odds of engaging in NSSI by 18% (OR = 1.18, 95%CI = 1.12-1.25, p = 2.25 × 10-8). Conclusion More than half of the adolescent inpatients with psychiatric disorders have NSSI experience. Depression and gender were the risk factors for NSSI. Age at a specific range had a high prevalence of NSSI.
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Affiliation(s)
- Ke Sun
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Anni Li
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Yichen Li
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Jun Xie
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Yonghao Tong
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Jun Ma
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
- Affiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yong Wu
- Research Center for Mental Health and Neuroscience, Wuhan Mental Health Center, Wuhan, Hubei, China
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Yan Y, Leong F, Song A, Goldman-Mellor S. Incidence and Correlates of Emergency Department Visits for Deliberate Self-Harm Among Asian American Youth. J Adolesc Health 2023; 72:510-518. [PMID: 36535866 PMCID: PMC10494551 DOI: 10.1016/j.jadohealth.2022.10.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 10/13/2022] [Accepted: 10/17/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE This study examined the epidemiology of self-harm emergency department (ED) visits among Asian American and Pacific Islander (AAPI) youth, and associated factors. METHODS We used California ED visit records in 2010 and 2011 to calculate incidence rates of self-harm ED visits for AAPI versus non-Hispanic White (NHW) patients aged 10-29 years. Demographic and clinical characteristics were compared for AAPI versus NHW patients presenting with self-harm. We used modified Poisson regression models to estimate the relative risk of recurrent ED self-harm visits for AAPI versus NHW patients and examined the association of insurance type and gender with recurrent self-harm among AAPIs. RESULTS Rates of self-harm ED visits for young AAPI patients were 38 and 26 per 100,000 among females and males, respectively. Although AAPI patients presenting with self-harm were equally or less likely than NHW patients to have comorbid psychological and substance use diagnoses at their index visit, they were 25% more likely to be admitted to hospital. However, they were 40% less likely to have a recurrent ED self-harm visit. Among AAPI patients, those who used Medicaid were significantly more likely than those with other insurance to be admitted as inpatients. DISCUSSION Young AAPI patients presenting to EDs with deliberate self-harm have different sociodemographic and clinical profiles compared to NHW patients. Our study also demonstrates significant heterogeneity in risk of recurrent self-harm by gender and insurance type among AAPI patients. This information may be useful for future intervention programs among self-harming AAPI youth.
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Affiliation(s)
- Yueqi Yan
- Health Sciences Research Institute, University of California, Merced, California
| | - Frederick Leong
- Department of Psychology, Michigan State University, East Lansing, Michigan
| | - Anna Song
- Department of Psychological Science, University of California, Merced, California
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Yan J, Liu Y, Yu J, Liao L, Wang H. Establishment and validation of a nomogram for suicidality in Chinese secondary school students. J Affect Disord 2023; 330:148-157. [PMID: 36801419 DOI: 10.1016/j.jad.2023.02.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/11/2023] [Accepted: 02/14/2023] [Indexed: 02/19/2023]
Abstract
BACKGROUND Accurately identifying high-risk of suicide groups and conducting appropriate interventions are important to reduce the risk of suicide. In this study, a nomogram technique was used to develop a predictive model for the suicidality of secondary school students based on four aspects: individual characteristics; health risk behaviors; family factors; and school factors. METHODS A total of 9338 secondary school students were surveyed using the stratified cluster sampling method, and subjects were randomly divided into a training set (n = 6366) and a validation set (n = 2728). In the former, the results of the lasso regression and random forest were combined, from which 7 optimal predictors of suicidality were determined. These were used to construct a nomogram. This nomogram's discrimination, calibration, clinical applicability, and generalization were assessed using receiver operating characteristic curves (ROC), calibration curves, decision curve analysis (DCA), and internal validation. RESULTS Gender, depression symptoms, self-injury, running away from home, parents' relationship, relationship with father, and academic stress were found to be significant predictors of suicidality. The area under the curve (AUC) of the training set was 0.806, while that of the validation data was 0.792. The calibration curve of the nomogram was close to the diagonal, and the DCA showed the nomogram was clinically beneficial across a range of thresholds of 9-89 %. LIMITATIONS Causal inference is limited due to the cross-sectional design. CONCLUSION An effective tool was constructed for predicting suicidality among secondary school students, which should help school healthcare personnel assess this information about students and also identify high-risk groups.
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Affiliation(s)
- Jie Yan
- School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China
| | - Yang Liu
- School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China
| | - Junjie Yu
- School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China
| | - Lipin Liao
- School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China
| | - Hong Wang
- School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China.
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Kukoyi O, Orok E, Oluwafemi F, Oni O, Oluwadare T, Ojo T, Bamitale T, Jaiyesimi B, Iyamu D. Factors influencing suicidal ideation and self-harm among undergraduate students in a Nigerian private university. MIDDLE EAST CURRENT PSYCHIATRY 2023. [DOI: 10.1186/s43045-022-00274-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Abstract
Background
Suicide and self-harm have been documented as the main cause of death among young adults. Nigeria as well as other low-income countries is reported to have a higher prevalence rate of suicidal ideation and self-harm as compared to high-income countries. The aim of this study was to evaluate the factors that influence self-harm and suicidal ideation among university undergraduates.
Results
Four hundred fifty students consented to participate in this study where 61.3% were female with mean age of 20.02 + 1.88 years. More than 46% (208) had moderate social support while 80.4% had a high self-esteem and 72.7% low environmental factor scores. There was an association between self-esteem (p=0.001), social support (p<0.001), and self-harm but no association between social support and suicide ideation (p=0.199) as well as between gender and self-harm (p=0.118).
Conclusions
There was some form of influence from self-esteem, social support, and environmental factors on self-harm and suicidal ideation. Interventions tailored towards these factors in order to improve mental health outcomes among undergraduates are needed.
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Prevalence of Internet Addiction and Its Relationship With Combinations of Physical Activity and Screen-Based Sedentary Behavior Among Adolescents in China. J Phys Act Health 2021; 18:1245-1252. [PMID: 34391206 DOI: 10.1123/jpah.2020-0512] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 06/04/2021] [Accepted: 06/08/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Given the widespread prevalence and serious nature of Internet addiction (IA), this study aimed to estimate the prevalence of IA and assess the relationships between IA and combinations of physical activity (PA) and screen-based sedentary behavior (SB) among adolescents in China. METHODS This cross-sectional study surveyed 31,954 adolescents in grades 7 to 12 in Beijing. IA, PA, screen-based SB, and other information were obtained from a self-administrated questionnaire. The chi-square test and mixed-effects logistic regression model were applied to estimate the relationship between IA and combinations of PA and screen-based SB. RESULTS 6.2% of the surveyed adolescents reported IA and the prevalence of low PA/high screen-based SB, high PA/high screen-based SB, low PA/low screen-based SB, and high PA/low screen-based SB were 53.7%, 19.5%, 18.8%, and 8.0%, respectively. Mixed-effects logistic regression analysis showed that adolescents with low PA/high screen-based SB were 1.99 (95% confidence interval, 1.62-2.44, P < .001) times more likely to prefer IA than those with high PA/low screen-based SB. CONCLUSIONS The prevalence of IA among Chinese adolescents is still high. Intervention programs like maintaining sufficient PA and reducing screen-based SB might contribute to reducing their IA.
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Hermosillo-de-la-Torre AE, Arteaga-de-Luna SM, Acevedo-Rojas DL, Juárez-Loya A, Jiménez-Tapia JA, Pedroza-Cabrera FJ, González-Forteza C, Cano M, Wagner FA. Psychosocial Correlates of Suicidal Behavior among Adolescents under Confinement Due to the COVID-19 Pandemic in Aguascalientes, Mexico: A Cross-Sectional Population Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094977. [PMID: 34067094 PMCID: PMC8124170 DOI: 10.3390/ijerph18094977] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/28/2021] [Accepted: 05/02/2021] [Indexed: 12/13/2022]
Abstract
Background: Suicide and suicidal behaviors were already a global public health problem, producing preventable injuries and deaths. This issue may worsen due to the COVID-19 pandemic and may differentially affect vulnerable groups in the population, including children, adolescents, and young adults. The current study evaluated the association of affective variables (depression, hopelessness, and anxiety), drug use (alcohol, tobacco, and others), emotional intelligence, and attachment with suicidal behaviors. Methods: A state-wide survey included 8033 students (51% female, 49% male; mean age of 16 years) from science and technology high-schools using a standardized questionnaire that was distributed online. Multinomial logistic regression models tested associations between suicidal behaviors and several covariates. The analyses accommodated the complex structure of the sample. Results: Approximately 21% of all students reported a suicidal behavior (11% with a low-lethality suicide attempt, 6% with self-injuries, and 4% with a high-lethality suicide attempt). Variables associated with higher odds of suicidal behavior included: female sex, depression, hopelessness, anxiety, alcohol and tobacco use, childhood trauma, and having to self-rely as issues affecting attachment, and low self-esteem. Security of attachment was associated with lower odds of suicidal behavior. Conclusions: The complexity of suicidal behavior makes it clear that comprehensive programs need to be implemented.
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Affiliation(s)
- Alicia Edith Hermosillo-de-la-Torre
- Psychology Department, Universidad Autónoma de Aguascalientes [Autonomous University of Aguascalientes], Aguascalientes 20131, Mexico; (A.E.H.-d.-l.-T.); (S.M.A.-d.-L.); (D.L.A.-R.); (F.J.P.-C.)
| | - Stephania Montserrat Arteaga-de-Luna
- Psychology Department, Universidad Autónoma de Aguascalientes [Autonomous University of Aguascalientes], Aguascalientes 20131, Mexico; (A.E.H.-d.-l.-T.); (S.M.A.-d.-L.); (D.L.A.-R.); (F.J.P.-C.)
| | - Denise Liliana Acevedo-Rojas
- Psychology Department, Universidad Autónoma de Aguascalientes [Autonomous University of Aguascalientes], Aguascalientes 20131, Mexico; (A.E.H.-d.-l.-T.); (S.M.A.-d.-L.); (D.L.A.-R.); (F.J.P.-C.)
| | - Angélica Juárez-Loya
- Clinical and Health Psychology Department, Psychology Faculty, Universidad Nacional Autónoma de México (UNAM), Mexico City 04510, Mexico;
| | - José Alberto Jiménez-Tapia
- Instituto Nacional de Psiquiatría [National Institute of Psychiatry], Tlalpan 14370, Mexico; (J.A.J.-T.); (C.G.-F.)
| | - Francisco Javier Pedroza-Cabrera
- Psychology Department, Universidad Autónoma de Aguascalientes [Autonomous University of Aguascalientes], Aguascalientes 20131, Mexico; (A.E.H.-d.-l.-T.); (S.M.A.-d.-L.); (D.L.A.-R.); (F.J.P.-C.)
| | - Catalina González-Forteza
- Instituto Nacional de Psiquiatría [National Institute of Psychiatry], Tlalpan 14370, Mexico; (J.A.J.-T.); (C.G.-F.)
| | - Manuel Cano
- Department of Social Work, University of Texas at San Antonio, San Antonio, TX 78207, USA;
| | - Fernando A. Wagner
- School of Social Work, University of Maryland Baltimore, Baltimore, MD 21201, USA
- Correspondence: ; Tel.: +410-706-5696
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Chen L, Lu RR, Duan JL, Ma J, Zhu G, Song Y, Lau PWC, Prochaska JJ. Combined Associations of Smoking and Bullying Victimization With Binge Drinking Among Adolescents in Beijing, China. Front Psychiatry 2021; 12:698562. [PMID: 34603100 PMCID: PMC8481949 DOI: 10.3389/fpsyt.2021.698562] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 07/28/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Binge drinking and smoking among adolescents are serious public concerns. However, very few studies have explored the reinforcement of bullying victimization by such behavior. Our study aimed at examining the individual and combined associations of smoking and bullying victimization with binge drinking among adolescents in Beijing, China. Methods: A total of 33,694 students aged 13-17 years old in Beijing, China were anonymously investigated via the cross-sectional Chinese Youth Risk Behavior Surveillance Survey from April to May 2014. A three-stage stratified sampling was used to select participants. Factors such as sociodemographic variables and indicators of smoking, bullying victimization, and binge drinking were analyzed with multiple logistic regressions, and joint and additive interaction effects were tested. Results: Overall, ever-drinking prevalence was 59.1% (boys: 64.4%; girls: 53.7%). Past 30-day binge drinking was 11.5% (boys: 15.6%; girls: 7.4%) and frequent binge drinking was 2.3% (boys: 3.3%; girls: 1.0%). Past 30-day smoking was 10.7% (boys: 16.4%; girls: 5.0%) and past 30-day bullying victimization was 48.7% (boys: 57.3%; girls: 40.1%). The combined effects of smoking and bullying victimization on occasional binge drinking (OR = 6.49, 95% CI = 5.60-7.52) and frequent binge drinking (OR = 10.32, 95% CI = 7.52-14.14) were significant, and the additive interaction effect was significant for current smoking and bullying victimization on frequent binge drinking (OR = 10.22, 95% CI = 9.43-11.07). The additive interaction effect for current smoking and bullying victimization on frequent binge drinking was significant among boys. Conclusion: Bullying victimization reinforced the association of smoking with frequent binge drinking, especially with findings specific to boys. Programs to prevent smoking or bullying or both may reduce binge drinking among adolescents in China.
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Affiliation(s)
- Li Chen
- School of Public Health, Institute of Child and Adolescent Health, Peking University, Beijing, China
| | - Ruo-Ran Lu
- Beijing Center for Disease Prevention and Control, Beijing, China
| | - Jia-Li Duan
- Beijing Center for Disease Prevention and Control, Beijing, China
| | - Jun Ma
- School of Public Health, Institute of Child and Adolescent Health, Peking University, Beijing, China
| | - Guangrong Zhu
- School of Public Health, Institute of Child and Adolescent Health, Peking University, Beijing, China
| | - Yi Song
- School of Public Health, Institute of Child and Adolescent Health, Peking University, Beijing, China
| | - Patrick W C Lau
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, SAR China.,Laboratory of Exercise Science and Health, BNU-HKBU United International College, Zhuhai, China
| | - Judith J Prochaska
- Department of Medicine, Stanford Prevention Research Center, Stanford University, Stanford, CA, United States
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